<include file="headerUser"/>
<css href="__HOMECSS__/userPay"/>
<js href="__HOMEJS__/My97DatePicker/WdatePicker.js"/>
<js href="__HOMEJS__/jquery.checkForm.js"/>
<script>
	$(function(){
		$("#theform").submit(function(){
			if(!$(this).checkForm.execute()){
				return false;
			}
			return true;
		});
	});
</script>
<div class="admin">
<!-- 菜单开始-->
<include file="userMenu"/>
<!-- 菜单结束-->
 <div id="am_xian" class="am_xian">
  <form method="post" id="theform" action="">
	<div class="fill">
	<div class="tou">
		<h2>
			提交付款方式</h2>
		<p> 按订单认真填写 </p>
	</div>
	<div class="biao">
		<table>
			<tbody><tr>
				<td class="z">
					订单编号：
				</td>
				<td>
					<input type="text" name="orderNumber" id="orderNumber" maxlength="20" type="text" jscheckrule="null=0;" jschecktitle="订单编号">
					<p >
						比如:201304202113171752</p>
				</td>
			</tr>
			<tr>
				<td class="z">
					汇款金额：
				</td>
				<td>
					<input type="text" name="amount" id="amount" maxlength="20" jscheckrule="null=0;" jschecktitle="汇款金额">
					<p>请输入汇款金额(THB)</p>
				</td>
			</tr>
			<tr>
				<td class="z">
					汇款日期：
				</td>
				<td>
					<input type="text" name="payDate" id="payDate" maxlength="20" class="Wdate" onClick="WdatePicker()" jscheckrule="null=0;" jschecktitle="汇款日期">
					<p ></p>
				</td>
			</tr>
			<tr>
				<td class="z">
					汇款银行：
				</td>
				<td>
				<ul>
				<?php 
					show_arr_radio(array(
						"泰国商业银行",
						"银行2",
						"银行3"),"bank",'0',false,'<li><label class="radio">%s</label></li>');
				?>
				<ul/>
				</td>
			</tr>
		</tbody></table>
	</div>
	<div class="tijiao">
		<input name="" value="确认修改" onmouseover="this.className='by'" onmouseout="this.className=''" type="submit">
		</div>
	</div>
	</form>
 </div>
 <div class="yj"></div>
</div>
<include file="footer"/>
